Individual provider Active NPI

Cameron Joel Harper

  • Family Nurse Practitioner
  • Blairsville, GA
National Provider Identifier
1497364954
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN269678 Issued in GA
Practice address
374 Pat Haralson Dr
Blairsville, GA 30512-8409
Phone
(706) 745-5541
NPI assigned
Jul 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN269678 GA Primary

Addresses

Primary practice location

374 Pat Haralson Dr
Blairsville, GA 30512-8409

Mailing address

374 Pat Haralson Dr
Blairsville, GA 30512-8409
Phone (706) 745-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210001099 GA Practitioner - Nurse Practitioner 9234529140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Beth Wiles, M.D., PC CurrentSince Nov 15, 2021 Accepting new patients
Mary Elizabeth Wiles, DO, PC CurrentSince Nov 15, 2021 Accepting new patients

Locations

374 Pat Haralson Dr
#A
Blairsville, GA 30512
Phone (706) 745-5541

374A Pat Haralson Dr
Blairsville, GA 30512
Phone (706) 745-5541

Interoperability endpoints

  • Direct secure messaging: cameron.harper.1@9035.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1497364954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 PAT HARALSON DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128409",
            "telephone_number": "706-745-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 PAT HARALSON DR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128409",
            "telephone_number": "706-745-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "CAMERON",
        "middle_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN269678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.